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ANTHONY ALAN ANDERSON

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1548723356

Individual Registrant:
 ANTHONY ALAN ANDERSON 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
55 BLUFF LAKE RD  MASCOTTE, FL 34753-9536 US
Tel: 352-460-6093  Fax: 352-366-0230

Contact information for business:
15508 WILLET CT  MASCOTTE, FL 34753-9102 US
Tel: 523-460-6093  Fax: 352-366-0230

Registration Information:
NPI: 1548723356
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator
FL022905700

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
022905700FL05




HEALTH CARE JOBS FL - Page 1



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